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My cousin was hit fast. She was running her household and paying bills one month, but a couple of months later and she was not able to function on her own. She lived alone, so had to enter assisted living immediately.
I have a family friend who has had dementia for over 10 years and she stays in her home with her adult daughter as her caregiver. She is mobile and cooperative and with the exception of a few bladder infections, stays healthy. She has done quite well at home even though she has had advanced dementia for many years.
It's when things get unmanageable in the home when people need to consider a facility of some sort. For example some patients fall a lot, get fractures and end up in rehab. Others get resistant or hostile and cannot be managed in the home. Still, others begin to wander and they need a secure memory unit. Eventually, there are other matters like incontinence, inability to chew, swallow or walk. It's difficult to handle those patients in a house with limited manpower from a spouse or one child caretaker.
You can go to the Alzheimers website to look at the stages. It gives the progression by stage. Keep in mind that the patient may have symptoms from one or two stages at once. And there is no time frame for how long each stage may last. It's such a cruel disease, as it is very random in how it strikes and how it affects each person.